Patient Privacy Policy

Notice of Privacy Practices for Protected Health Information

The Privacy Notice below describes how medical information about you may be used and disclosed and how you can get access to this information, including examples of how your health information might be used, your health information rights, and our responsibilities.

Please review and contact us with any questions: Wheat Ridge Front Range Oral Surgery Wheat Ridge Office Phone Number 720-583-0523, Westminster Front Range Oral Surgery Westminster CO Office Phone Number 303-428-3437, or Frederick Front Range Oral Surgery Frederick Office Phone Number 720-990-5544. We will have this form ready for your signature at your first appointment.

Technical Note

These forms are in PDF format. If you do not have Adobe Reader installed on your computer, you may download Acrobat Reader for free and use it to access these forms.